Effects of adding a neurodynamic mobilization to motor control training in patients with lumbar radiculopathy due to disc herniation

Review written by Dr Sarah Haag info

Key Points

  1. There is no one “best” intervention for low back pain with radiculopathy, partly due to the complexity of low back pain.
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BACKGROUND & OBJECTIVE

Low back pain (LBP) is known to be responsible for significant disability, and the costs associated with LBP continue to rise. The most effective treatment strategy for LBP with radiculopathy has yet to be identified, though conservative care has been shown to be as effective as surgery after one year. Conservative care may include interventions such as exercise and manual therapy.

The purpose of this study was to investigate the effect of the addition of neural mobilization into a motor control exercise program on pain, disability and pressure sensitivity in individuals with lumbar radiculopathy.

Conservative care has been shown to be as effective as surgery for LBP with radiculopathy after one year.
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The complexity of LBP, and pain in general, makes it unlikely that subclassifying patients based on a single factor will be possible.

METHODS

Participants (n=32) were included if they were between 18 and 60 years old; had a confirmed disc herniation between L4-S1 via MRI; reported radiating pain to one lower limb including the foot; had pain for at least 3 months; had

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